Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
GRAFT DERMAL 0.8 TO 1.7MMX8 20CM PLIABLE FOLDING HYDRATED THICK FLEXHD ACELLULAR DERMIS IMPLANTABLE
Low
$8
Average
$2.7k
Median
$163
High
$34.2k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 347.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
141 hospital rates
iThe hospitals that file a Oscar rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA other · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 3 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.7k | $1.4k | 53% | — | $1.4k – $5.1k |
| 4 | Banner Baywood Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Banner Boswell Medical Center Sun City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $54 | $27 | 49% | — | $24 – $101 |
| 6 | Banner Del E Webb Medical Center Sun City West, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $48 | $20 | 42% | — | $24 – $101 |
| 7 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $52 | $21 | 40% | — | $24 – $101 |
| 8 | Banner Estrella Medical Center Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $66 | $27 | 41% | — | $24 – $113 |
| 9 | Banner Gateway Medical Center Gilbert, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $44 | $18 | 40% | — | $24 – $98 |
| 10 | Banner Ocotillo Medical Center Chandler, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $81 | $16 | 20% | — | $63 – $101 |
| 11 | Banner Thunderbird Medical Center Glendale, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $47 | $19 | 41% | — | $23 – $101 |
| 12 | Banner University Medical Center Phoenix Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $48 | $18 | 37% | — | $24 – $98 |
| 13 | Banner University Medical Center Tucson Tucscon, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $66 | $21 | 32% | — | $40 – $101 |
| 14 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $30 | $13 | 43% | — | $8 – $66 |
| 16 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $30 | $13 | 43% | — | $8 – $66 |
| 17 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $8.2k | $14.4k | $11.6k | 81% | — | $2.2k – $34.5k |
| 18 | Coffee Regional Medical Center, Inc Douglas, GA facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $35 | $15 | 43% | — | $9 – $76 |
| 21 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $77 | $30 | 39% | — | $14 – $153 |
| 22 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · inpatientfrom % of charges | 1 | $693 | $693 | $147 | 21% | — | $546 – $840 |
| 23 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | $82 | 21% | — | $304 – $468 |
| 24 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $6.7k | $10.0k | $5.6k | 56% | — | $4.5k – $17.7k |
← Payers reporting HCPCS Q4128 · Snapshot 20261111T120946Z-9134e7f7